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Related Experiment Video

Updated: May 15, 2026

An Implantable System For Chronic In Vivo Electromyography

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Published on: April 21, 2020

Recurrent Laryngeal Nerve Reinnervation.

Theodore A Gobillot¹, Karen B Zur¹

¹Division of Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Otorhinolaryngology: Head & Neck Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Otolaryngologic Clinics of North America

|May 13, 2026

Summary

Pediatric unilateral vocal fold paralysis lacks a standard surgical treatment. Recurrent laryngeal nerve reinnervation is a safe and effective option for treating voice, swallowing, and breathing issues in children.

Keywords:

Dysphonia Recurrent laryngeal nerve Reinnervation Vocal fold paralysis

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Area of Science:

Otolaryngology
Pediatric Surgery
Speech and Language Pathology

Background:

Pediatric unilateral vocal fold paralysis (UVFP) presents a significant clinical challenge.
Current treatment options for UVFP are varied and lack standardization.
Effective management is crucial for improving quality of life in affected children.

Purpose of the Study:

To review the current treatment landscape for pediatric UVFP.
To highlight the efficacy and safety of recurrent laryngeal nerve reinnervation.
To provide evidence supporting a durable surgical solution for persistent UVFP.

Main Methods:

Literature review of existing studies on pediatric UVFP management.
Analysis of treatment outcomes for observation, vocal fold injection, laryngeal framework surgery, and nerve reinnervation.
Focus on functional outcomes related to voice, aspiration, and airway.

Main Results:

No single surgical approach is universally adopted for pediatric UVFP.
Recurrent laryngeal nerve reinnervation demonstrates high success rates.
This technique effectively addresses dysphonia, aspiration, and dyspnea/stridor.

Conclusions:

Recurrent laryngeal nerve reinnervation offers a safe and durable treatment for pediatric UVFP.
It provides a reliable option for persistent cases unresponsive to other therapies.
Further standardization of surgical care for pediatric UVFP is warranted.